Joe Mendoza Jr. (NPI# 1871653253, PAC ID# 5294805024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1871653253 |
| PAC ID by PECOS | 5294805024 |
| Professional Enrollment ID | I20080604000758 |
| Full Name | Joe Mendoza Jr. |
| Organization Legal Name | LUCY PARK EMERGENCY PHYSICIANS PLLC |
| Address |
5420 Kell Blvd Wichita Falls TX 76310-1610 |
| Phone Number | 9406925888 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8527349083 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450827 | KELL WEST REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5420 Kell Blvd, Wichita Falls, TX 76310-1610 | 9406925888 | LUCY PARK EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | LUCY PARK EMERGENCY PHYSICIANS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K.j. Brownlee | Emergency Medicine | Lucy Park Emergency Physicians Pllc | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Francis C Anwasi | Family Medicine | Lucy Park Emergency Physicians Pllc | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Street Address |
5420 KELL BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip | 76310-1610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James G Holcomb | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Randy Allen Rogers | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Ricardo B Eversley | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Michael K.j. Brownlee | Emergency Medicine | Lucy Park Emergency Physicians Pllc | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Brent J Wetendorf | Nurse Practitioner | Mrunalini Radkar Md Pllc | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Eddie R Dunlap | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Sriram Sudarshan | Cardiovascular Disease (cardiology) | Kell West Regional Hospital LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Francis C Anwasi | Family Medicine | Lucy Park Emergency Physicians Pllc | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Robert L Cabe | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Morgan Alexander Weisser | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher G Wallace | Physician Assistant | Wichita Medical Management, LLC | 3701 Fairway Blvd, Suite 114, Wichita Falls, TX 76310-1038 |
| Melanie Ruyle Lerew | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Zoe Doss Kavanaugh | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Jedidiah James Grisel | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Cameron D Godfrey | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Pamela Bender | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Barry Prestridge | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Jerald Giles | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Karen Lavalley | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Kimberly D Ravelo | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
| Find all physicians in zip 76310 | |||
| City | WICHITA FALLS |
| Zip Code | 76310 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WICHITA FALLS + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.